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Organization
PRODIGIOUS STAFFING
Active
Organization
PRODIGIOUS STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN RISER (GENERAL MANAGER)
(734) 407-7622
Entity
Organization
Contact information
Practice address
31221 LYNDON ST, LIVONIA, MI 48154-4354
(734) 407-7622
Mailing address
31221 LYNDON ST, LIVONIA, MI 48154-4354
(734) 407-7622
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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